Columbia  Win^ttsiitp 
in  tJeCitp  of  i^eU)  pork 

College  of  S^i^y^idam  anb  burgeons; 


iHisssf  (^n^^it  €llis(on 

in  mentor?  of 

3ir.  Ctnegt  Hilliam  ^u^al 

X9X8 


i 


THE 


ROLLER   BANDAGE. 


BY 

WILLIAM   BAETON   HOPKINS,  M.D., 

SURGEON  TO  THE  OVT-PEPARTMENTS   OF  PENNSYLVANIA,  EPISCOPAL,  AND  UNIVER- 
SITY   HOSPITALS,    ASSISTANT    DEMONSTRATOR    OF    SURGERY     IN     THE 
UNIVERSITY  OF  PENNSYLVANIA,  FELLOW  OF  THE  COLLEGE 
OF    PHYSICIANS    OF    PHILADELPHIA,  ETC. 


WITH  SEVENTY-THREE  ILLUSTRATIONS. 


PHILADELPHIA: 

J.    B.    LIPPINCOTT    &    CO. 

1883. 


Copyright,  l«83,  by  J    B.  Liit'INcott  &  Co. 


PEEFAOE. 


The  plan  which  has  been  adopted  in  this  book, 
as  will  be  seen  at  a  glance,  is  to  teach  by  nu- 
nierous  illustrations  rather  than  by  elaborate 
description  the  method  of  applying  the  roller 
bandage.  In  order  that  the  student  may  most 
readily  familiarize  himself  with  this  very  im- 
portant subject,  a  series  of  illustrations  are 
presented  which  were  made  in  the  following 
manner :  Each  bandage  was  applied  to  a  living 
model,  and  whenever  the  roller  pursued  a  course 
which  the  author  has  found  in  his  association 
with  students  was  the  cause  of  any  uncertainty, 
it  was  at  once  photographed.  From  these  pho- 
tographs accurate  draw^ings  were  made  by  the 
artist,  Mr.  J.  L.  Wallace.  In  this  way  it  is  hoped 
that  the  intricate  course  traversed  by  the  roller 
in  the  most  complex  dressing  has  been  made 
sufficiently  plain  to  enable  the  student  to  apply 
it  for  himself  almost  unaided  by  the  text.     The 


4  PREFACE. 

latter  will  be  found  very  brief  and  devoid  of 
everything  but  the  rule  for  application  and  the 
use  to  which  the  dressing  is  commonly  put. 

A  series  of  definitions  and  general  rules  for 
bandaging  occupy  the  earlier  pages  of  the  book. 

W.  B.  H. 


CONTEETS. 


The    Koller    Bandage. 

Definition    . 

Material 

Rolling 

By  Hand 
By  Key 
By  Machine 

Size 

Uses    . 

Tension 

Varieties 

Parts    . 


Pack 
9 
9 
10 
10 
10 
12 
12 
13 
13 
17 
17 


Application. 

To  Eix 18 

To  Repeat 18 

To  Overlap 19 

To  Recur 19 

To  Reverse  ,         .         .         .         .         .         .         .19 

To  Reverse  Descending       .         .         .    '     .         .         .21 

To  Secure 22 

To  Remove 2-\ 

1*  5 


CONTENTS, 


Special    Bandages. 

A  Circular  Bandage    . 

A  Spiral  Bandage 

An  Oblique  Bandage 

A  Spica  Bandage 

A  Figure-of-Eight  Bandage 

A  Spiral  Eeversed  Bandage 

A  Recurrent  Bandage 

Bandages  of  the  Head. 
Barton's  Bandage 
Gibson's  Bandage 
Occipito-facial  Bandage 
Crossed  Bandage  of  the  Jaw 
Recurrent  Bandage     . 
Figure-of-Eight  Bandage  of  one  Eye 
Figure-of-Eight  Bandage  of  both  Ey 
Hunter's  V  Bandage  . 
White's  Head  and  Neck  Bandage 
Knotted  Bandage 

Bandages  of  the  Upper   Extejcmity. 
Desault's  Bandage 
Velpeau's  Bandage 
Figure-of-Eight  Bandage  of  the  Neck 
Spica  Bandage  of  the  Shoulder 

Ascending     . 

Descending  . 
Spiral  Reverted  Bandage  of  the  Upper  Extremity 
Figure-of-Eight  Bandage  of  the  Elbow     . 


c  and  Axilla 


Page 

23 
28 
23 
24 
24 
24 
24 

27 
30 
31 
33 
34 
36 
37 
38 
39 
40 

42 
51 
54 
55 
55 
58 
60 
62 


CONTENTS. 


Pagk 
Spica  Bandage  of  the  Thumb     .....     63 

Ascending 63 

Descending 64 

Gauntlet  Bandage       .......     65 

Demi  Gauntlet  Bandage .6(5 

Bandages   of   the   Trunk. 

Spiral  Bandage  of  the  Chest       .         .         .         .  .67 

Anterior  Figure-of-Eight  Bandage  of  the  Chest  .     68 

Posterior  Figure-of-Eight  Bandage  of  the  Chest  .     70 

Single  Spica  Bandage  of  the  Breast   .         .         .  .71 

Double  Spica  Bandage  of  the  Breast  .         .         .  .73 

Bandages  of  the  Lower  Extremity. 

Single  Spica  Bandage  of  the  Groin  .  ...     70 

Ascending  Spica  .......     70 

Descending  Spica  ......     78 

Double  Spica  Bandage  of  the  Groin  .         .         .80 

Ascending  Spica  ......     80 

Descending  Spica 82 

Figure-of-Eight  Bandage  of  the  Knee  .  .  .84 
Spica  Bandage  of  the  Foot  .  .  .  .  .85 
Incomplete  Bandage  of  the  Foot         .         .         .  .87 

Complete  Bandage  of  the  Foot  .  .  .  .  .88 
Spiral  lieversed  Bandage  of  the  Lower  Extremity    .     90 


THE   ROLLER  BANDAGE. 


Definition. — The  term  roller  bandage  is  gener- 
ally used  to  indicate  a  strip  of  muslin  rolled  into 
a  cylindrical  form  like  tape.  When  other  ma- 
terial than  muslin  is  employed,  as  India-rubber, 
linen,  flannel,  crinoline,  or  silk,  it  is  usually  desig- 
nated as  a  rubber  bandage,  a  linen  bandage,  or  a 
crinoline  bandage. 

Material. — Unbleached  muslin  of  medium  qual- 
ity, which  costs  about  eight  cents  a  yard,  is  best 
adapted  for  ordinary  purposes.  This  may  either 
be  torn  into  strips  of  the  proper  length  and 
breadth,  removing  the  selvedge  and  leaving  the 
ravel  as  much  undisturbed  as  possible,  or  it 
may  be  cut,  when  a  great  number  are  required, 
as  is  now  done  at  the  Pennsylvania  Hospital. 
By  a  very  simple  process  used  in  the  large  cloth- 
houses,  a  piece  of  muslin  can  be  cut  into  three 
hundred  and  sixty  bandages  in  a  few  minutes. 


10  THE   ROLLER   BANDAGE. 

Rolling. — The  strip  of  muslin  having  been  torn 
or  cut,  may  be  rolled  either  by  hand,  by  a  key, 
or  by  a  macliine.  In  rolling  by  hand,  one  ex- 
tremity of  the  bandage  is  folded  upon  itself  three 
or  four  times,  when  it  is  handled  as  a  cigarette 
is  rolled  until  the  core  becomes  sufficiently  firm 
to  resist  pressure  on  end.  It  is  then  held  be- 
tween the  thumb  and  index  finger  of  the  left 
hand,  and  is  made  to  revolve  upon  its  long  axis 
by  the  thumb  and  fingers  of  the  right  hand,  as 
shown  in  Fig.  1. 

Fig.  1. 


//X<#> 


V 


A  bandage  may  be  more  quickly  and  firmly 
rolled  by  using  a  key,  shown  in  Fig.  2.  This  is 
made  of  brass,  has  an  ordinary  key-handle,  a 
tapering  octagonal  shaft,  and  a  smooth  tip.     The 


THE  ROLLER  BANDAGE. 


11 


Fig.  2. 


dimensions  of  the  shaft  are, — four  inches  in 
length,  one-quarter  of  an  inch  in  diameter  at  the 
shoulder,  and  one-fifth  at  the  tip. 
After  fijiing  one  extremity  of  the 
bandage  on  the  key,  the  latter  is 
made  to  revolve  by  the  right  hand, 
while  the  left  holds  the  tip  of  the 
instrument  in  its  palm,  and  guides 
the  course  of  the  bandage  between 

Fig.  3. 


Author's     Ivky     for 
RuLLiNo  Bandages. 


the  thumb  and  fingers.  AVhen  the  roller  has 
reached  a  certain  size,  it  may  be  held  in  the  man- 
ner shown  in  Fig.  3.  Any  tendency  of  the  roller 
to  run  ofi*  its  proper  course  may  be  overcome  by 
pressure  with  the  little  finger  of  the  left  hand,  if 
it  deviates  towards  the  handle  of  the  key,  and  by 
pressure  with  the  index  finger  if  towards  the  tip. 


12 


THE  ROLLER   BANDAGE. 


The  bandage  machine  consists  of  a  reel,  witli 
a  crank  and  octagonal  shaft,  mounted  upon  a 
base  which  is  made  to  screw  to  a  table.  Set  in 
the  base  are  two  uprights,  which  support  wooden 
rods.  Through  these  the  bandage  travels  in  its 
course  from  the  left  hand  to  the  reel,  their  object 
beino^  to  resrulate  the  direction  and  tension  of 


Fig.  4. 


the  roller.  After  the  bandage  is  rolled,  it  may 
readily  be  withdrawn  from  the  machine  by  re- 
versing the  direction  of  the  crank  and  pulling 
out  the  shaft,  as  the  latter  is  quite  movable. 
This  apparatus  is  shown  in  Fig.  4. 

Size. — Although  bandages  vary  in  length  from 
two  to  ten  yards,  and  in  width  from  three-quar- 
ters of  an  inch  to  four  inches,  there   are   two 


THE  ROLLER  BANDAGE,  13 

sizes  in  coninion  use  with  which  abiiost  any 
dressing  may  be  applied.  They  are  the  roller 
(two  and  a  half  inches  by  seven  yards)  and  the 
finger  roller  (three  quarters  of  an  inch  by  three 
yards).  For  children  under  ten  years  of  age, 
the  length  and  breadth  of  a  bandage  suitable  for 
an  adult  may  each  be  divided  by  tw^o. 

Uses. — The  roller  bandage  is  used  for  so  great 
a  variety  of  purposes  that  it  would  be  quite 
beyond  the  scope  of  these  definitions  to  attempt 
to  enumerate  them,  except  in  the  most  general 
way.  To  retain  almost  all  dressings  and  splints. 
To  prevent  or  control  oedema,  oozing  of  blood 
or  serum,  spasm  of  muscles  after  fracture,  or  as 
itself  a  fracture  dressing.  In  fact,  almost  every- 
where that  surgical  interference  is  required. 

Tension. — Too  much  care  cannot  be  exercised 
in  applying  a  bandage  in  each  individual  case, 
to  estimate  how  much  tension  should  be  used,  in 
order  to  fulfil  the  object  for  which  it  is  employed, 
advantageously  and  prudently. 

A  bandage  may  be  applied  lighfly,  moderately ^ 
or  loosely.  These  grades  may  be  readily  tried 
upon  one's  own  person.  A  tight  bandage  makes 
a  healthy  hand  throb.  *  A  bandage  moderately 


14  THE  ROLLER   BANDAGE. 

applied  gives  the  support  of  a  comfortable  glove, 
and  a  loose  bandage  is  one  which  may  retain  a 
compress  resting  upon  the  eye  without  discom- 
fort. The  conditions  governing  the  tension  of 
the  roller  will  be  formulated  as  (a)  those  de- 
pending upon  the  roller  itself,  and  {b)  those 
which  exist  in  the  part  bandaged  : 

a.  1.  The  Circumference  of  the  Part  bandaged. — 
The  greater  the  circumference  the  more  force 
must  be  used.  Thus,  in  applying  a  roller  to  the 
lower  extremit}',  it  is  necessary,  in  order  to  secure 
an  equal  support  for  the  entire  limb,  that  each 
turn  covering  a  greater  circumference  should  be 
drawn  a  little  more  firmly  than  the  preceding 
turn.  The  thigh  turns  requiring  considerably 
more  force  to  produce  a  given  tension  than  those 
at  the  ankle. 

2.  Whether  the  Bandage  includes  the  entire  or 
only  half  the  Circumference  of  the  Limb,  as  in  the 
Application  of  Splints. — When  these  are  applied, 
much  of  the  force  used  is  expended  upon  them, 
the  limb  receiving  less  pressure  than  if  the  roller 
surrounded  it  alone. 

3.  Incomplete  Bandaging. — Any  bandage  which 
leaves  a  considerable  portion  of  the  distal  ex- 


THE  ROLLER   BANDAGE.  15 

treniity  of  a  limb  uncovered  is  very  liable  to 
induce  swelling:.  If  the  hand  or  the  foot  is  left 
uncovered,  while  the  rest  of  the  limb  is  bandaged, 
swelling  is  very  likely  to  occur.  Once  started, 
it  progresses  very  rapidly,  because  it  increases 
the  tension  of  the  lower  border  of  the  bandage. 
This  of  course  promotes  the  swelling,  and  so 
these  active  and  passive  agents  react  upon  each 
other  to  the  complete  strangulation  of  the  limb. 

4.  The  Character  of  the  Dressing  beneath. — Where 
a  mass  of  soft  yielding  material  like  cotton  or 
charpie  is  interposed,  much  more  force  is  neces- 
sary to  give  the  requisite  tension  than  where  a 
thin  dressing  or  none  at  all  is  used. 

5.  Increase  of  Tension  from  Flexion  or  Extension. 
— If  a  spica  bandage  is  applied  to  the  shoulder 
with  the  arm  elevated,  its  tension  will  be  much 
increased  by  bringing  the  arm  to  the  side  of  the 
body.  In  the  same  manner  the  tension  of  a 
spica  of  the  groin,  applied  with  the  thigh  flexed 
upon  the  abdomen,  will  be  increased  when  the 
latter  is  extended. 

6.  The  Number  of  Tarns. — Each  additional  turn 
applied  to  the  same  part  of  a  limb  increases  the 
tension  nearly  double.     When,  therefore,  a  roller 


IQ  THE   ROLLER   BANDAGE. 

starts  at  the  wrist,  passes  to  the  hand,  and  re- 
turns to  the  wrist,  the  latter  receives  too  much 
tension,  unless  the  first  wrist  turns  are  made 
very  loosely.  The  same  is  true  to  a  less  extent 
when  successive  turns  are  made  very  close  to- 
gether. 

7.  Shrinkage. — Due  allowance  should  always 
be  made  for  shrinking  of  the  muslin,  if  it  is 
known  or  suspected  that  from  any  cause  it  will 
become  wet, 

h.  1.  Texture  and  Condition  of  the  Tissues. — 
Hard  infiltrated  tissue,  such  as  is  frequently 
found  accompanying  ulcers  of  the  leg,  requires 
very  firm  pressure,  while  very  moderate  pressure 
only  can  be  employed  in  bandaging  the  flabb}' 
unresisting  limbs  of  delicate  children  and  aged 
persons.  An  acute  inflammatory  condition  of  a 
part  will  not  admit  of  pressure,  while  very  con- 
siderable tension  is  well  borne  by  a  doughy 
oedematous  condition  of  the  tissues. 

2.  Habit.  —  Independent  of  advance  or  sub- 
sidence of  swelling,  a  bandage  may  be  applied 
more  firmly  when  the  patient  has  become  accus- 
tomed to  its  presence, 

3.  Situation. —  Care    must  be    observed,  when 


THE   ROLLER  BANDAGE.  17 

bandages  about  the  chest  are  applied,  that  res- 
piration shall  not  be  interfered  with,  particularly 
if  the  dressing  is  completed  before  the  patient 
has  quite  recovered  from  the  effects  of  an  an- 
aesthetic. 

4.  Change  in  Position. — Marked  swelling  always 
occurs  when  a  limb  which  has  been  kept  hori- 
zontal for  many  weeks  is  suddenly  allowed  to 
hang.     In  this  way  a  fixed  dressing  of  silicate  of 

Fig.  5. 


■^/'  ^ 


sodium  or  plaster  of  Paris,  comfortable  while 
the  patient  is  on  his  back,  frequently  has  to  be 
cut  when  he  gets  up. 

Varieties. — The  single  roller,  which  is  almost 
invariably  used,  and  the  double  roller.  They 
are  shown  in  Fig.  5. 

Parts  of  the  Roller. — The  sins^le  roller  is  com- 

posed  of  seven  parts, — the  initial  and  terminal 

extremities,  the  upper  and  lower  borders,  the 
h  2* 


18  THE  ROLLER   BANDAGE. 

external  and  internal  surfaces,  and  the  body. 
The  initial  extremity  is  the  free,  and  the  termi- 
nal extremity  is  in  the  centre  of  the  cylinder. 
The  borders  are  designated  according  to  the 
position  they  occupy  when  the  subject  stands 
erect.  The  surfaces  are  denoted  by  their  relation 
to  the  centre  of  the  cylinder,  and  the  body  in- 
cludes all.  The  double  roller  has  eight  parts, — 
two  terminal  extremities,  two  borders,  two  sur- 
faces, two  bodies,  and  no  initial  extremity. 

APPLICATION. 

To  Fix. — A  roller  is  fixed  by  placing  the  ex- 
ternal surface  of  the  initial  extremity  upon  the 
point  at  which  it  is  to  start  with  the  thumb  and 
index  linger  of  the  left  hand.  With  the  body 
of  the  roller  held  in  the  right  hand  two  turns 
are  made  in  the  direction  taken  by  the  hands  of 
a  clock.  The  first  turn  must  be  made  by  the 
right  hand  alone,  after  which  the  left  hand,  being 
free,  may  alternate  with  it. 

To  Repeat. — To  repeat  is  to  make  a  second 
turn  completely  hide  a  preceding  turn.  This  is 
always  done  in  a  circular  bandage,  and  in  fixing 
the  initial  extremity. 


THE  ROLLER   BANDAGE. 


19 


To  Overlap. — To  overlap  is  to  make  a  second 
turn  cover  one-half,  two-thirds,  or  three-quarters 
of  a  preceding  turn.     This  is  done  in  all  spirals. 

To  Recur. — To  recur  is  to  catch  a  turn  at  some 
point  and  reflect  it  upon  itself,  so  that  it  either 

Ftg.  6. 


exactly   retraces  its  course  or  slightly  diverges 
in  another  direction  (Fig.  6).     This  is  done  in  re- 


FiG.  7. 


^r^<f:rrT\ 


m^ 


currents  of  the  stump  (Fig.  7)  and  the  recurrent 
of  the  scalp. 

To  Reverse. — To  reverse  is  to  bring  the  internal 
surface  of  the  roller  next  the  skin  instead  of  the 


20  THE  ROLLER   BANDAGE. 

external.  The  right  hand  being  in  a  state  of 
supination  when  it  receives  the  body  of  the 
roller  from  the  left,  makes  a  reverse  by  simply 
being  pronated  (Fig.  8).     "While  the  right  hand 

Fig.  8. 


efiects  this  movement,  the  thumb  or  index  fins^er 
of  the  left  is  placed  upon  the  last  turn,  which 
has  been  applied  in  order  to  retain  it  in  position, 
as  the  free  portion  6f  the  roller  should  hang 
perfectly  slack  when  the  reverse  is  being  made. 
After  making  the  reverse,  the  roller  is  passed 
around  the  limb  and  delivered  to  the  left  hand, 
and  not  until  then  is  the  traction  necessary  to 
produce  the  required  tension  employed.  The 
succeeding  reverses  are  made  in  the  same  way, 
and  the}'  will   be  even  and  symmetrical  if  the 


THE  ROLLER  BANDAGE.  21 

thumb  or  index  finger  of  the  left  hand  is  placed 
in  the  same  pei'pendicular  line  it  before  occupied 
*  while  retaining  the  preceding  turn,  and  if  each 
turn  is  made  to  overlap  the  preceding  one  to  the 
same  extent  in  its  entire  circumference.  The 
object  of  the  reverse  is  to  make  the  roller  adapt 
itself  to  a  conical  cylinder,  whose  diameter  is 
increasing,  as  from  the  ankle  to  the  calf. 

Fro    9. 


To  Reverse  Descending". — To  make  a  descending 
reverse,  the  right  hand  is  placed  in  a  state  of 
pronation  when  about  to  receive  the  body  of  the 
roller  from  the  left,  and  is  simply  turned  to 
supination,  while  the  left  thumb  retains  the  turn 
already  made  as  in  the  ordinary  reverse  (Fig.  9). 
The  descending  reverse  becomes  necessary  when 
the  roller  is  applied  to  a  part  the  diameter  of 


22  THE  ROLLER  BANDAGE. 

which  is  constantly  diminishing,  as  in  the  leg 
from  the  calf  to  the  knee  when  the  former  is 
very  large,  and  when  thickly  padded  splints  are 
applied  to  the  hand,  etc. 

To  Secure. — To  secure  the  terminal  extremit}' 
of  the  roller,  either  a  pin  is  used,  which  includes 
one  or  more  of  the  previous  turns,  or  the  end  is 
slit  into  two  tails,  which  are  carried  around  the 
part  in  opposite  directions  and  tied.  The  pin 
may  be  introduced  parallel  or  at  right  angles 
with  the  long  axis  of  the  roller.  These  methods 
of  securing   are   shown   in   Fig.    10.     The    pin 

Fig.  10. 


should  alwavs  be  directed  downwards ;  it  should 
appear  to  view  at  least  twice  in  its  course  through 
the  underlying  layers  of  muslin,  and  its  point 
should  be  carefully  buried.  These  precautions 
are  necessary  to  prevent  the  pin  doing  harm,  as 
the  hand  is  usually  carried  down  the  limb  to 
ascertain  if  the  roller  has  been  properly  applied. 


h 


THE  ROLLER   BANDAGE. 


2a 


To  Remove. — When  removing  the  roller,  each 
turn  should  be  gathered  compactly  in  the  hand, 
no  loops  or  ends  being  allowed  to  trail. 

SPECIAL  BANDAGES 

A  Circular  Bandage. — A  circular  bandage  con- 
sists of  a  series  of  three  turns 
which  repeat  each  other.  Fia.  ii. 

A  Spiral  Bandage. — A  spi- 
ral bandage  is  one  each  turn 
of  which,  after  the  initial 
extremity  is  fixed,  overlaps 
one-half,  two-thirds,  or  three- 
quarters  of  the  preceding 
turn.  Such  a  bandage  ap- 
plied to  a  part  having  vari- 
ous diameters  will  not  adapt 
itself  (Fig.  11). 

An  Oblique  Bandage. — An 
oblique  bandage  resembles  a 
spiral,  except  that  the  limb  is 
ascended  so  rapidly  that  the 
borders  of  the  turns  do  not  touch.  It  is  only 
used  to  retain  a  tenaporary  or  loose  dressing 
(Fig.  12). 


24  THE  ROLLER  BANDAGE. 

A  Spica   Bandage. — A  spica  bandage  is  com- 
posed of  two  sets  of  turns  alternating  with  one 
another,  and  coming  in  contact  only  at 
Fig.  12.     the  point  where  it  is  intended  to  make 
pressure  or  retain  a  dressing. 

A  Figure-of-Eight  Bandage. — A  figure- 
of-eight  bandage  frequently  resembles 
a  spica  very  closely.  It  also  is  com- 
posed of  two  sets  of  turns  made  in 
different  directions,  but  the  direction 
of  these  turns  gradually  converges. 

A  Spiral  Reversed  Bandage. — A  spiral 
reversed  bandas^e   consists   of  a  series 
of  spiral   turns,   most   of   which   have 
been  reversed. 

A  Recurrent  Bandage.  (See  To  Recur,  page  19.) 


BANDAGES  OF  THE  HEAD. 


All  bandages  applied  to  the  head,  except  Bar- 
ton's, are  fixed  either  by  circular  turns  running 
horizontally  about  the  vault  of  the  cranium,  or 


Fig.  13. 


by  circular  turns  vertically  around  the  face. 
After  the  former  method  are  fixed  the  crossed 
of  the   angle    of  the  jaw,   recurrent  of  scalp, 

B  3  25 


26 


THE  ROLLER  BANDAGE. 


figure-of-eights  of  the   eye,   Hunter's,  White's, 
and  the  knotted  bandage  (Fig.  13),  while  Gibson's 


and  the  occipito-facial   are   fixed    by  the  latter 
(Fig.  14). 


BANDAGES  OF   THE  HEAD. 


27 


BAETON'S  BANDAGE. 


2  inclies  by  5  yards. 


Place  the  initial  extremity  of  the  roller  behind 
the   ear   on   the   sound   side.     Carry  the  roller 


Fig.  15. 


Z,  ,W^-^ 


beneath  the  occiput  to  a  corresponding  point 
behind  the  ear  on  the  injured  side.  Thence  to 
the  vertex,  and  down  the  sound  side  of  the  face 
to  the  chin.     Up  on  the  injured  side  to  the  ver- 


28 


THE  ROLLER  BANDAGE. 


tex,  intersecting  the  former  turn  directly  in  the 
median  line,  and  back  to  the  starting-point.  Not 
until  then  is  the  bandage  fixed.  The  fingers 
holding  the  initial  extremity  are  now  released, 


Fig.  16. 


and  the  roller  may  be  conveniently  passed  from 
one  hand  to  the  other  (Fig.  15).  The  roller 
passes  from  here  to  the  occiput,  and  along  the 
injured  side  of  the  jaw  to  the  chin,  and  back 
to  the  occiput.  From  the  occiput  to  the  vertex 
(Fig.  16).      Each  of  these  turns  is  repeated  in 


BANDAGES   OF  THE  HEAD. 


29 


a  similar  manner  twice,  when  the  bandage  is 
terminated  at  the  vertex.  Every  intersection 
requires  a  pin  (Fig.  17). 


Fig.  17. 


Uses. — Fracture  of  the  body  of  the  lower  jaw, 
after  luxation,  and  to  retain  dressings  at  various 
points  along  the  course  traversed  by  the  bandage. 

It  is  also  a  useful  substitute  for  the  leather 
head-gear  of  Sayre's  suspension  apparatus  for 
applying  the  plaster  jacket,  when  the  latter  is 
not  available. 


3* 


30  THE  ROLLER   BANDAGE 

GIBSON'S  BANDAGE. 
2  inches  by  5  yards. 

Fix  the  roller  by  vertical  turns  around  the 
face.  The  direction  it  takes  in  starting  is  de- 
termined by  the  location  of  the  fracture,  the 
roller  always  ascending  on  the  injured  side. 
After  making  three  of  these  vertical  turns,  a 
right-angled  reverse  is  made  at  the  temple,  on 
whichever  side  is  most  convenient,  and  the  band- 
age carried  back  to  the  occiput  (Fig.  14).  Three 
horizontal  turns  are  then  made  around  the  vault 
of  the  cranium,  and  on  reaching  the  occiput  the 
third  time  the  chin  turns  are  begun.  These  are 
made  by  carrying  the  roller  beneath  the  ear, 
along  the  side  of  the  jaw  to  the  front"  of  the 
chin,  and  back  to  the  occiput.  Three  of  these 
turns  are  made.  On  reaching  the  occiput  the 
third  time,  the  bandage  is  completed  by  a  right- 
angled  reverse  at  this  point,  whence  it  is  carried 
over  the  top  of  the  head  to  the  forehead  in  the 
median  line  (Fig.  18).  A  pin  is  introduced  at 
the  reverse  over  the  occiput,  and  at  each  inter- 


BANDAGES  OF  THE  HEAD. 


31 


section.     It  will  be  seen  to  consist  of  three  sets 
of  circular  turns. 

Fio.    18. 


Uses. — Fracture  of  the  body  of  the  lower  jaw, 
after  luxation,  and  to  retain  dressings. 


OOOIPITO-FAOIAL  BANDAGE. 


2  inches  by  2  yards. 

Fix  the  roller  by  vertical   turns   around    the 
face.      After  naaking  three  of  these  turns,  re- 


32 


THE  ROLLER   BANDAGE. 


verse  over  the  temple  on  the  most  convenient 
side,  and  carry  the  roller  to  the  occiput,  and  back 
to  the  opposite  temple.  It  may  be  pinned  here 
(Fig.  19),  or  continued  around  the  forehead  to  the 
point  at  which  the  reverse  was  made.     The  re- 

FiG.    19. 


verse  must  also  be  pinned.  The  bandage  is 
simply  the  first  and  part  of  the  second  circulars 
of  Gibson's. 

Uses. — To  restrict  the  movement  of  the  jaw 
after  luxation,  and  to  retain  dressings. 


BANDAGES  OF  THE  HEAD.  3< 

CKOSSED  BANDAGE  OF  THE  JAW. 
2  inches  by  6  yards, 

Fix  the  roller  about  the  vault  of  the  cranium 


delivering  it  from  the  left  to  the  right  hand,  if 
the  jaw  is  fractured  on  the  left  side,  and  from 
the  right  to  the  left,  if  the  fracture  is  on  the 
right  side.  On  reaching  the  occiput  the  third 
time,  carry  the  roller  beneath  the  ear,  under  the 
chin  to  the  angle  of  the  mouth  on  the  opposite 
side.  Ascend  to  the  vertex.  Descend  behind 
the  ear  on  the  sound  side  to  the  throat,  and  up 
again  on  the  injured  side  to  the  vertex.  Each 
ascending  turn  overlaps  the  preceding  turn  three- 
quarters.  Each  descending  turn  passes  behind 
the  ear  on  the  sound  side,  and  exactly  repeats 
the  preceding  turn.  So  continue  until  the  angle 
of  the  jaw  on  the  injured  side  is  covered.  This 
is  usually  accomplished  in  about  four  turns, 
when  the  bandage  may  be  pinned  (Fig.  20),  or  a 
right-angled  reverse  made  over  the  temple,  and 
a  circular  turn,  repeating  those  applied  at  the 
beginning,  carried  around  the  head. 


34 


THE  ROLLER  BANDAGE. 


Fig.  20. 


Use. — Fracture  of  the  lower  jaw  with  trouble- 
some lateral  displacement. 


EEOUEKENT  BANDAGE. 


2  inches  by  7  yards. 

Fix  the  roller  about  the  vault  of  the  cranium. 
On  reaching  the  occiput  the  third  time,  make  a 
right-angled  reverse,  and  carry  the  roller  in  the 
median  line  over  the  top   of  the   head  to  the 


BANDAGES   OF   THE  HEAD. 


35 


brow,  at  which  point  the  finger  of  an  assistant 
must  hold  the  bandage.  Recur  to  the  occiput, 
overlapping  three-quarters  of  the  first  turn  on 
one  side.  Recur  to  the  forehead,  overlapping 
three-quarters  on  the  other  side  of  the  first  turn. 
So  continue  until  the  entire  scalp  is  covered, 
when  two  circular  turns  are  made  to  fix  the  re- 
currents.  Pin  deeply  into  the  layers  in  front 
and  at  the  back  (Fig.  21), 

Fig.  21. 


Uses. — To  retain  dressings  to  the  scalp,  and  to 
make  compression. 


36  'i^HE  ROLLER   BANDAGE. 

FIGUEE-Or-EIGHT  BANDAGE  OP  ONE  EYE 
2  inches  by  5  yards. 

Fix  the  roller  about  the  vault  of  the  cranium, 
bandaging  from  left  to  right,  if  the  right  eje  is 
to  be  covered,  and  from  right  to  left,  if  the  left 
eye.      On  reaching  the  occiput  the  third  time, 

Fig.    22. 


^'- 


i    / 


pass  the  bandage  below  the  ear,  across  the  eye, 
and  to  the  tuberosity  of  the  parietal  bone  on  the 
opposite  side.  Thence  to  the  occiput.  Repeat 
this  turn  twice,  and  again  follow  the  fixing  turns 
around  the  head.    Pin  both  intersections  (Fig.  22). 


BANDAGES  OF  THE  HEAD.  37 

Uses. — To  retain  dressings,  and  make  compres- 
sion upon  the  orbit. 


PIGUEE-OF-EiaHT  BANDAaE  OF  BOTH  EYES. 
2  inches  by  7  yards. 

Fix  the  roller  around  the  head.     Cover  one 
eye  as  in  the  preceding  bandage,  and,  after  mak- 

FiG.    23. 


ing  one  circular  about  the  head,  proceed  on 
reaching  the  occiput  to  cover  the  other  eye  in  a 
similar  manner  (Fig.  23). 

Uses. — To  retain  dressings,  or  compress  both 
eyes. 


38 


THE  ROLLER  BANDAGE 


HUNTER'S   V   BANDAGE. 


2  inches  by  3  yards. 

Fix  the  roller  about  the  vault  of  the  cranium. 
On  reaching  the  occiput  the  third  time,  carry  the 
bandage  beneath  the  ear,  along  the  jaw  to  the 

Fig.    24. 


i     (  MM  %     •■ 


front  of  the  chin,  and  back  to  the  occiput. 
Then  alternate  between  head  and  chin  turns, 
making  two  or  three  of  each.  This  bandage 
follows  the  same  course  as  the  second  and  third 
circulars  of  Gibson's  (Fig.  24). 


BANDAGES   OF   THE  HEAD. 


39 


Uses. — To   fix   dressings,  and  retain  parts  in 
apposition  about  the  chin  and  lips. 


WHITE'S  HEAD  AND  NECK  BANDAGE. 
2  inches  by  3  yards. 

Fix  the  roller  about  the  vault  of  the  cranium, 
and  on  reaching  the  occiput  the  third  time,  pass 

Fig.  26. 


directly  down  in  front  of  the  throat.  Alternate 
two  or  three  head  and  neck  turns,  and  pin  tlie 
bandage  at  the  most  convenient  point  (Fig.  25). 


40  THE  ROLLER   BANDAGE. 

Uses.  —  To    apply    dressings,    or    approximate 
wounds  in  front  of  the  neck. 


KNOTTED  BANDAGE. 

2  inches  by  7  yards. 

For  this  a  double-headed  roller  is  employed. 
Place  the  free  portion  between  the  bodies  upon 
the  temple  on  the  injured  side,  and  carry  the 
heads  around  the  vault  of  the  cranium  to  a  cor- 
responding point  on  the  opposite  side.  Here 
the  heads  of  the  roller  pass  each  other,  and 
continue  their  course  back  to  the  starting-point. 
When  this  point  is  reached,  they  make  a  half 
turn  upon  each  other,  and  pursue  a  vertical 
course  around  the  face,  passing  as  before  on  the 
sound  side.  Reaching  the  injured  side  again, 
another  hitch  is  made,  and  the  roller  carried 
horizontally  around  the  head.  So  alternate  face 
and  head  turns  until  three  or  four  knots  have 
been  made,  when  the  terminal  extremities  may 


BANDAGES  OF  THE  HEAD. 


41 


be  tied  together  or  pinned  at  the  most  convenient 
point  (Fig.  26). , 


Fig.  26. 


Use. — To  control  hemorrhage   from   the  tem- 
poral artery. 


4* 


BANDAGES  OF  THE  UPPER  EXTREMITY. 


DESAULT'S  BANDAGE. 

This  bandage  is  compound  in  character,  re- 
quiring for  its  application  three  rollers  and  a 
wedge-shaped  pad.     The  pad  is  made  of  strong 

Fro.  27. 


-j^^'t'f!-y-S-'.-iiX!»  "■ 


muslin  stuiFed  with  haii  or  bran,  is  about  ^ve 
inches  square,  two  inches  thick  at  the  base,  and 
bevels  off  to  nothing  at  the  apex  (Fig.  27). 


42 


BANDAGES  OF  THE    UPPER  EXTREMITY.   43 

FIEST  ROLLER  OF  DESAULT. 

2J  inclies  by  5  yards. 

Place  the  initial  extremity  of  the  roller  on  the 
pad,  the  base  of  which  is  thrust  into  the  axilla 
on  the  injured  side,  and  make  four  spiral  turns. 

Fig.  28. 


encircling  the  thorax  and  pad.  On  reaching  the 
pad  the  fourth  time,  carry  the  roller  well  down 
under  its  apex,  and  thence  across  the  front  of 
the    chest  to  the  shoulder   on  the  sound  side. 


44  THE  ROLLER   BANDAGE. 

Here  a  ligure-of-eight  turn  around  the  arm  is 
made,  and  the  roller  conveyed  across  the  back  to 
the  apex  of  the  pad  again.  Two  more  of  these 
turns  are  made,  either  repeating  each  other,  or, 
as  shown  in  Fig.  28,  overlapping  to  form  a  spica 
on  the  shoulder.  The  terminal  extremity  is  then 
pinned  at  the  most  convenient  point  in  front. 

Use. — The  spiral  turns  are  to  ^x  the  pad,  and 
the  figure-of-eight  turns  to  force  it  up  into  the 
axilla.  A  towel  folded  into  a  pad,  and  kept  in 
place  by  a  strip  of  adhesive  plaster,  is  a  more 
convenient  plan  for  obtaining  the  indications  of 
the  first  roller. 


SECOND  ROLLER  OF  DESAULT. 

2^  inches  by  7  yards. 

Fix  the  initial  extremity  of  the  roller  by  two 
circular  turns,  which  include  the  thorax  and  the 
arm  on  the  injured  side.  They  pass  over  the 
head  of  the  humerus  and  under  the  sound  axilla. 
Descend  the  chest  and  arm  by  spirals,  overlap- 
ping  one-half.       These    turns    must   constantly 


BANDAGES  OF  THE    UPPER  EXTREMITY.   45 

increase  in  tension  until  the  elbow  is  readied, 
when  the  bandage  is  pinned.  The  spirals  may 
somewhat  converge  on  the  sound  side,  so  that 
they  overlap  three-quarters  (Fig.  29). 

Fig.  29. 


TTse. — To  force  the  head  of  the  humerus  out- 
wards. This  is  done  by  the  action  of  the  lower 
spiral  turns.  These  being  applied  with  more 
tension  than  the  upper  ones  convert  the  shaft  of 
the  bone  into  a  lever,  the  fulcrum  of  which  cor- 
responds to  the  pad. 


46 


THE  ROLLER  BANDAGE. 


THIRD  ROLLER  OF  DESAULT. 

2i  inclies  by  7  yards. 

Place  the  initial  extremity  of  the  roller  under 
the  axilla  on  the  sound  side,  and  carry  it  ob- 
liquely across  the  front  of  the  chest  to  the  middle 
of  the  summit  of  the  shoulder  on  the  injured 

Fig.  30. 


side.  Down  behind  the  humerus,  and  parallel 
with  it,  to  the  elbow ;  under  the  latter,  and  across 
the  front  of  the  chest  to  the  axilla  on  the  sound 
side,  where  the  initial  extremity  is  met  and  fixed 
(Fig.  30).    The  roller  now  passes  under  the  axilla, 


BANDAGES  OF  THE    UPPER  EXTREMITY.   47 

obliquely  across  the  back  to  the  middle  of  the 
summit  of  the  shoulder  on  the  injured  side. 
Down  in  front  of  the  humerus,  and  parallel  with 
it  to  the  elbow;  under  the  elbow,  and  across  the 
back  to  the  axilla  on  the  sound  side,  which  com- 


pletes one  entire  turn, — an  anterior  and  a  pos- 
terior triangle  (Fig.  31).  From  this  point  it 
emerges,  and  is  in  position  to  cross  the  front  of 
the  chest  to  the  shoulder  on  the  injured  side  as 
before,  and  descend  behind  the  humerus,  and 
pass  under  the  elbow,  back  again  to  the  axilla. 


48 


THE  ROLLER  BANDAGE. 


Another  posterior  turn  is  then  made.  In  this 
way  three  anterior  and  tliree  posterior' triangles 
are  formed,  which  exactly  repeat  each  other,  and 
the  end  of  the  roller  is  pinned  at  any  point  in 
front.  Each  intersection  also  must  be  secured 
by  pins  or  adhesive  plaster,  and  a  sling  to  sup- 

FiG.  32. 


port  the  forearm  and  hand  completes  the  dress- 
ing (Fig.  32). 

Use. — To  draw  the  shoulder  upwards  and  back- 
wards. To  accomplish  this,  it  is  evident  that  the 
posterior  turns  must  be  applied  with  more  tension 
than  the  anterior. 


Bandages  of  the  upper  extremity.  49 

The  bandage  of  Desault  as  a  whole  is  em- 
ployed usually  for  fracture  of  the  clavicle.  Por- 
tions of  the  dressing  are,  however,  frequently 
used  for  other  purposes.  The  second  roller 
being  applied  when  it  becomes  necessary  to  re- 
tain the  arm  to  the  side  of  the  body  for  any 
cause,  as  in  fracture  of  the  humerus.  The  third 
roller  may  be  used  after  dislocation  of  the  head 
of  the  humerus  or  of  the  acromial  end  of  the 
clavicle. 


THIED  EOLLER  OP  DESAULT  MODIFIED  BY 
AUTHOE. 

In   order  to  obtain  a  more   direct   elevating 

force,  the  third  roller  may  be  applied  as  shown 

in  Fig.  33.     To  do  this,  place  the  initial  extremity 

under  the  sound  axilla,  carry  the  roller  obliquely 

across  the  front  of  the  chest  to  the  shoulder  on 

the   injured    side,    down    behind    the    arm    and 

parallel  to  it,  and  under  the  elbow,  as  in  Desault. 

From   the   elbow   the   roller   ascends   obliquely 

across  the  forearm  and  front  of  the  chest  to  the 

summit  of  the  shoulder  on  the  sound  side,  and  down 
c      d  6 


50 


THE  ROLLER  BANDAGE 


obliquely  across  the  hack  to  the  elbow  on  the  injured 
side.  Thence  it  ascends  the  arm  to  the  shoulder 
on  the  injured  side,  and  returns  across  the  hack 
to  the  axilla  on  the  sound  side.     Here  it  fixes 


Fig.  33. 


the  initial  extremity,  and  two  more  similar  turns 
are  made,  which  exactly  repeat  each  other,  when 
the  terminal  end  is  secured  as  in  the  original 
bandage.  The  anterior  turns  applied  in  this  way 
lose  to  a  great  extent  their  power  to  draw  the 
shoulder  forward.  The  necessary  precaution,  to 
use  more  tension  for  the  posterior  than  the  an- 


BANDAGES   OF  THE    UPPER  EXTREMITY.    5] 

terior  turns,  when  the  roller  is  applied  in  the  or- 
dinary way,  is  therefore  not  required,  as  the  di- 
rection of  the  forces  and  their  relative  points  of 
application  are  of  themselves  sufficient  to  effect 
this  result,  and  to  gain  a  greater  elevating  force. 


VELPEAU'S  BAMAGE. 
2|  inches  by  14  yards  (two  seven-yard  rollers). 

Place  the  initial  extremity  over  the  spine  of 
the  scapula  on  the  sound  side.  Having  placed 
the  hand  on  the  injured  side  upon  the  sound 
shoulder,  carry  the  roller,  across  the  back  to  the 
injured  side,  pursuing  the  following  course :  the 
middle  of  the  summit  of  the  shoulder;  the 
middle  of  the  outer  aspect  of  the  arm,  behind 
the  elbow,  across  to  the  axilla  on  the  sound  side, 
and  under  it  to  the  starting-point.  Eepeat  this 
turn  to  ^x  the  bandage  (Fig.  34).  On  reaching 
the  scapula  the  second  time,  make  a  circular  turn 
around  the  thorax,  including  in  it  the  arm  on 
the  injured  side.  The  external  condyle  of  the 
humerus  being  the  point  over  which  the  middle 


52 


THE  ROLLER   BANDAGE 

Fig.  ?A. 


Fig.  35. 


BANDAGES  OF  THE    UPPER   EXTREMITY.    53 

of  the  roller  passes  (Fig.  35),  on  its  way  back  to 
the  starting-point.  A  shoulder  turn  is  now 
made,  which  overlaps  the  fixing  turn  thre^quar- 
ters  towards  the  median  line  of  the  body.  Then 
another   circular   (spiral)   turn   overlapping   the 

Fig.  36. 


m 


\^. 


preceding  turn  one-half.  So,  shoulder  turns  and 
spiral  turns  alternate  until  the  former  support 
the  point  of  the  elbow.  After  this  spiral  turns 
alone  are  continued,  until  the  entire  injured  ex- 
tremity up  to  the  wrist  is  thoroughly  supported. 
No  sling  is  used  in  this  dressing.     Pins  or  ad- 

5* 


54 


THE    ROLLER   BANDAGE 


hesive  plaster  must  be  generously  used  at  critical 
parts  (Fig.  36). 

Uses. — Fracture  of  the  clavicle,  and  after  dis- 
location of  the  humerus. 


PIGUEE-OF-EIGHT  BANDAaE  OF  THE  NEOK  AND 

AXILLA. 

2  inclies  by  4  yards. 

Fix  the   initial    extremity   by    circular   turns 

Fig.  37. 


around  the  neck.     Descend  from  the  neck  to  the 


BANDAGES  OF  THE    UPPER   EXTREMITY.    55 

axilla,  carrying  the  roller  from  before  backwards, 
if  the  right  axilla  is  to  be  included,  and  from 
behind  forwards,  if  the  left.  Pass  under  the 
axilla,  ascend  to  the  neck,  and  encircle  it.  So 
alternate  until  three  turns  have  been  made,  either 
repeating  one  another,  or,  as  shown  in  Fig.  37, 
overlapping  three-quarters.  This  bandage  can- 
not be  applied  so  as  to  adapt  itself  neatly  to  the 
parts.  It  may  be  pinned  at  any  point,  preferably 
at  the  intersections. 

Uses. — To  retain  dressings  in  the  axilla,  and  to 
approximate  wounds  in  the  side  of  the  neck. 


SPIOA  BANDAGES  OP  THE  SHOULDEE. 

ASCENDING   SFICA. 

2^  inches  by  7  yards. 

Fix  the  initial  extremity  just  above  the  middle 
of  the  arm  on  the  injured  side.  Carry  the  roller 
across  the  front  of  the  chest  (if  the  right  is  the 
injured  side,  across  the  back  if  the  left)  to  the 
opposite  axilla ;  passing  under  this,  return  by  the 


56 


THE  ROLLER  BANDAGE. 


back  (or  by  the  chest  if  the  left  side  is  being 
bandaged)  to  the  injured  side.  In  the  ascending 
spica  the  lower  border  of  the  roller  determines 
the  position  of  the  spica.  This  turn,  therefore, 
should  cross  the  previous  turn,  so  that  the  lower 

Fig.  38. 


borders  of  both  intersect  at  the  outer  side  of  the 
arm  (Fig.  38).  Encircle  the  arm  and  overlap, 
ascending  two-thirds.  Pass  to  the  opposite  axilla, 
gradually  converging  with  the  preceding  turn 
so  that  at  this  point  it  will  repeat  it.  So  alter- 
nate  between   body   and    arm    turns   until    the 


BANDAGES   OF   THE    UPPER   EXTREMITY.    57 

shoulder  is  covered,  when  the  bandage  may  be 
secured  by  a  pin  at  the  spica  (Fig.  39). 


Uses. — To  retain  dressings  to  the  shoulder, 
to  complete  fracture  dressings  for  the  humerus, 
and  after  dislocation  of  the  acromial  end  of  the 
clavicle. 


58 


THE  ROLLER  BANDAGE. 


DESCENDING  SPICA. 


2J  inches  by  7  yards. 


Fix  the  initial  extremity  to  the  upper  part  of 
the  arm.      Carry  the  roller  to  the  base  of  the 


Fig.  40. 


neck,  and  pass  across  the  front  of  the  chest  (or 
the  back,  if  the  left  side  is  being  bandaged)  to 
the  opposite  axilla.  Return  across  the  back  (or 
front  of  the  chest,  if  the  left  side)  to  the  base 
of  the  neck  on  the  injured  side.      In  the  de- 


BANDAGES   OF  THE    UPPER   EXTREMITY.   59 

scending  spica,  the  upper  border  of  the  bandage 
determines  the  position  of  the  spica.  The  upper 
borders  of  this  turn  and  the  preceding  one  should, 
therefore,  coincide  at  the  junction  of  the  base  of 
the  neck  and  summit  of  the  shoulder  (Fig.  40). 

Fig.  41. 


Pass  under  the  axilla  on  the  injured  side,  and  so 
continue  overlapping  two-thirds  at  the  spica,  de- 
scending and  converging  under  the  axilla  on  the 
sound  side,  until  the  shoulder  is  covered  (Fig. 
41).  Pin  the  terminal  extremity  at  the  spica,  or 
at  any  point  in  front. 

TTses. — To  retain  dressings  higher  up   on  the 


60 


THE  ROLLER  BANDAGE. 


shoulder  than  can  be  neatly  done  by  the  ascend- 
ing spica. 


SPIEAL  REVERSED  BANDAGE  OP  THE  UPPER 
EXTREMITY. 

2^  inches  by  7  yards 

Fix  the  initial  extremity  at  the  wrist,  carrying 
the  roller  from  left  to  right  in  bandaging  either 


Fig.  42. 


Fig.  43. 


side.  Pass  across  the  back  of  the  hand  (from 
the  ulnai^  to  the  radial  side,  if  the  right  hand, 
and  from  the  radial  to  the  ulnar,  if  the  left)  to 
the  tips  of  the  fingers  (Fig.  42).     Here  make  a 


BANDAGES   OF   THE    UPPER   EXTREMITY.    Q\ 

circular  and  a  spiral  reversed  turn.  Two  figure- 
of-eio'ht  turns  above  and  below  the  thumb  are  then 
made  (Fig.  43),  and  the  roller  is  carried  up  to  the 
wrist.  Continue  up  the  forearm  with  spiral 
turns  until  the  diameter  of  the  latter  increases 
sufficiently  to  render  reverses  necessary  (Fig. 
44).     Make  these  until  a  point  near  the  elbow  is 


Fig.  44. 


Fig.  45. 


reached,  when  spiral  turns  take  their  place  until 
the  increasing  diameter  of  the  arm  requires  re- 
versing upon.  A  few  more  spiral  turns  complete 
the    bandage    (Fig.    45).      The    elbow   may  be 


62 


THE  ROLLER   BAXDAGE. 


covered,  particularly  if  the  forearm  is  to  be  re- 
tained in  a  flexed  position,  by  figure-of-eight 
turns,  as  shown  in  Fig.  46,  and  presently  to  be 
described. 

Uses. — To  retain  dressings  and  splints  to  the 
part,  etc. 


riGUEE-Or-EIGHT  BANDAGE  OF  THE  ELBOW. 

2^  inches  by  2  yards. 

Fix  the  initial  extremity  on  the  forearm  a  little 
below  the  elbow.      Carry  the  roller  across  the 

Fig.  46. 


front  of  the  joint  to  the  highest  point  on  the 
arm  which  the  bandage  is  to  cover.  Descend 
across  the  joint,  and  encircle  the  forearm  at  a 
point  overlapping  (ascending)  the   fixing   turns 


BANDAGES   OF  THE    UPPER   EXTREMITY.    68 

two-thirds.  Again  ascend  across  the  front  of 
the  joint  to  a  point  which  overlaps  the  preced- 
ing turn  two-thirds  (descending).  So  continue 
until  the  elbow,  except  the  olecranon,  is  cov- 
ered, when  a  final  circular  turn  is  made  over 
the  latter  and  the  terminal  end  pinned  (Fig.  46). 
Uses. — To  retain  dressings  to  the  part,  and  to 
cover  the  elbow  in  the  spiral  reversed  of  the 
upper  extremity. 


Fig.  47. 


SPIOA  BANDAGE  OP  THE  THUMB. 

ASCENDING  SPICA. 
1  inch  by  3  yards. 

Fix  the  initial  extremity  at  the 
wrist,  carry  the  roller  to  the  tip 
of  the  thumb,  and  make  a  circular 
turn.  Make  a  series  of  figure-of- 
eight  turns  of  the  thumb  and 
wrist,  overlapping  (ascending) 
two-thirds;  the  intersections,  or 
spicas,  being  made  over  the  dor- 
sum of  the  thumb  (Fig.  47). 
Pin  the  terminal  end  at  the  wrist. 


64 


THE  ROLLER  BANDAGE. 


Uses. — To  retain  dressings  and  splints  to  the 
part. 


DESCENDING   SPICA. 


1  inoli  by  3  yards. 

Fix  the  initial  extremity  at  the  wrist,  carry  the 
roller  to  the  metacarpo-phalangeal  joint  of  the 
thumb,  and  make  a  circular  turn. 
Fig  48.  Return  to  the  wrist,  and,  with  alter- 
nating thumb  and  wrist  turns  which 
overlap  two-thirds,  descend  towards 
the  tip  of  the  thumb.  Here  also 
each  spica  should  be  made  over 
the  dorsum  of  the  thumb.  The  ter- 
minal end  is  secured  at  the  wrist 
(Fig.  48). 

Uses. — To  retain  dressings,  and 
after  luxation  of  the  base  of  the  metacarpal 
bone  of  the  thumb. 


BANDAGES  OF  THE    UPPER   EXTREMITY.   65 


GAUNTLET  BANDAGE. 


1  inch  by  5  yards. 


Fig  40. 


Fix  the  initial  extremity  at  the  wrist,  and  carry 
the  roller  abruptly  across  the  back  of  the  hand 
to  the  tip  of  the  index  linger  (if  the  right  hand, 
to  the  tip  of  the  little  finger,  if  the  left),  and 
make  a  circular  turn,  after  which 
the  finger  is  ascended  by  a  series 
of  spiral  turns.  Some  reverses 
are  necessary  if  the  fingers  are 
oedematous,  or  if  a  very  bulky 
dressing  is  to  be  retained,  but  or- 
dinarily none.  When  the  finger 
is  covered,  pass  across  the  back 
of  the  hand  to  the  wrist,  and  make 
here  another  circular  turn.  In 
like  manner  each  finger  is  bandaged,  and  finally 
the  thumb,  when  the  terminal  end  is  pinned  at 
the  wrist  (Fig.  49). 

Uses. — To  retain  dressings  after  burns  and 
scalds.  To  apply  splints.  One  or  two  fingers 
only  are  generally  covered,  the  dressing  as  a 
whole  being  seldom  used. 


66 


THE  ROLLER  BANDAGE. 


DEMI-GAUNTLET  BANDAaE. 


1  inoli  by  3  yards. 


Fro.  50. 


Fix  the  initial  extremity  at  the  Avrist.  Carry 
the  roller  across  the  back  of  the  hand  to  the 
base  of  the  index  finger  (if  the  right  hand,  to 
the  base  of  the  little  finger  if  the 
left),  encircle  this,  and  return  in 
the  opposite  direction  across  the 
back  of  the  hand  to  the  wrist.  So 
continue  until  all  have  had  this 
loop  thrown  over  them,  including 
finally  the  thumb,  when  the  ter- 
minal extremity  is  pinned  at  the 
wrist  (Fig.  50).  Here,  as  in  the 
gauntlet,  it  is  better  to  make  a 
complete  circular  turn  of  the  wrist  after  each 
finger  is  covered. 

TTse. — To  retain  light  dressings  to  the  dorsum 
of  the  hand. 


BANDAGES  OF  THE  TRUNK. 


SPIEAL  BANDAGE  OF  THE  OHEST. 
3  inches  by  7  yards. 

Fix    tlie    initial    extremity   about  the   waist. 


Fig.  51. 


fe' 


^  r,~*^M 


/  j^'     ' 


i         f'^    ^ — . 


'^i 


Ascend  the  chest  by   spiral  turns,  overlapping 

67 


68  THE  ROLLER   BANDAGE. 

one-half,  until  a  point  just  below  the  axillae  is 
reached.  At  the  sternum,  recur  across  the  right 
shoulder  to  the  spine,  and  back  across  the  left 
shoulder  to  the  sternum.  Secure  each  recurrent 
with  a  pin  (Fig.  51).  * 

Uses. — To  support  the  chest,  as  after  fracture 
of  the  ribs,  or  to  retain  dressings  to  it. 


ANTEKIOE  riGURE-Or-EIGHT  BANDAGE  OP  THE 

CHEST. 

2^  inches  by  7  yards. 

Fix  the  initial  extremity  on  the  upper  part  of 
the  right  arm,  and  carry  the  roller  across  the 
shoulder  and  front  of  the  chest  to  the  left  axilla. 
Pass  under  this,  over  the  left  shoulder,  and  across 
the  front  of  the  chest  to  the  right  axilla.  En- 
circle the  right  shoulder  from  below  upwards, 
and  return  to  the  left  side  as  before.  So  pro- 
ceed until  four  or  five  turns  have  been  made. 
These  may  repeat  one  another  throughout,  or 
may  overlap  three-quarters   over   the    sternum. 


BANDAGES  OF   THE   TRUNK. 


69 


The  terminal  end  is  secured  at  any  convenient 
point  in  front  (Fig.  52). 


Fig.  52. 


.-.'.v-^^-,.'  -a4,-v.«# 


Uses. — To  approximate  the  shoulders  in  front. 


To  retain  dressings. 


70  THE   ROLLER   BANDAGE. 

POSTEEIOE  riGURE-Or-EIGHT  BANDAGE  OF 
THE  OHEST. 

2^  inches  by  7  yards. 

Fix  the  initial  extremity  on  the  upper  part  of 
the  left  arm.  Carry  the  roller  over  the  summit 
of  the  left  shoulder,  and  across  the  back  to  the 

Fig.  53. 


right  axilla.  Passing  under  this,  and  to  the 
summit  of  the  shoulder,  again  cross  the  back  to 
the  left  axilla,  where  the  left  shoulder  is  encircled 
in  the  same  way.     After  making  four  or  ^wq  of 


BANDAGES   OF  THE   TRUNK.  *J\ 

these  turns,  pin  the  terminal  end  in  front.  Each 
turn  may  repeat  throughout,  or  overlap  over  the 
spine  three-quarters,  as  shown  in  Fig.  53. 

Uses. — To  draw  the  shoulders  together  behind. 
To  retain  dressings  over  the  upper  part  of  the 
back. 


SPIOA  BANDAaES  OF  THE  BEEAST. 

SINGLE  SPICA. 
2J  inclies  by  7  yards. 

Place  the  initial  extremity  on  the  scapula  upon 
Fig.  54. 


the  affected  side.      Carry  the  roller  across  the 


72 


THE  ROLLER   BANDAGE. 


back  to  the  summit  of  the  opposite  shoulder, 
and  thence  down  under  the  lower  portion  of  the 
affected  breast,  beneath  the  axilla,  to  the  starting- 
point.  Repeat  this  turn  (Fig.  54)  to  fix  the 
initial  extremity.  On  reaching  the  scapula  the 
second  time,  make  the  first  circular  turn  around 


Fig.  55. 


the  chest.  This  should  pass  under  the  sound 
breast  and  across  the  lower  border  of  the  affected 
breast.  Having  completed  this  circular,  another 
shoulder  turn  is  made,  which  overlaps  the  previous 
one  three-quarters,  ascending.  Then  another 
circular,  which  overlaps  the  preceding  circular 


BANDAGES   OF   THE   TRUNK  73 

one-half  over  the  aiFected  breast,  three-4uarters 
under  the  sound  breast.  So  shoulder  turns  and 
circulars  alternate,  until  the  breast  is  thoroughly 
supported,  when  the  terminal  end  may  be  pinned 
at  any  point  in  front  (Fig.  55). 

Uses. — To  retain  dressings  to  the  part.    To  give 
support  and  produce  compression. 


DOUBLE  SPICA. 

2i  inches  by  10  yards. 

Fig.  56. 


The  initial  extremity  is  lixed  in  the  same  way 
as  in  applying  the  single  spica  (Fig.  54).      On 


74  THE  ROLLER   BANDAGE. 

reaching  the  left  scapula  the  second  time,  carry 
the  roller  straight  across  the  back  to  the  right 
scapula,  under  the  axilla  and  right  breast  to  the 
opposite  shoulder.  Passing  from  here  to  the  right 
scapula,  the  first  circular  turn  begins.  It  should 
encircle  the  chest  on  a  line  that  will  include  the 
lower  border  of  both  breasts  (Fig.  56).     When 

Fig.  57. 


this  turn  is  completed,  the  roller  passes  to  the 
summit  of  the  right  shoulder,  and  descends  to  in- 
clude the  left  breast.  Again  it  is  carried  across 
the  back,  under  the  right  axilla,  and  ascends, 
including  the  right  breast,  to  the  left  shoulder. 


BANDAGES   OF  THE   TRUNK.  75 

Then  a  second  circular  turn  is  made.  In  this 
way  left  breast,  right  breast,  and  circular  turns 
alternate,  the  two  former  overlapping  two-thirds, 
the  latter  one-half,  until  both  breasts  are  covered. 
Three  series  of  spicas  are  thus  formed, — one  over 
the  sternum  and  one  under  each  breast  (Fig.  57). 
The  terminal  extremity  may  be  pinned  at  any 
point  in  front. 

Uses. — To  retain  dressings,  and  to  give  support 
and  pressure  to  both  mammae. 


BANDAGES  OF  THE  LOWER  EXTREMITY. 


SINGLE  SPIOA  BANDAGE  GE  THE  GROIN. 

2i  inches  by  7  yards. 
ASCENDING  SPICA. 

Fix  the  initial  extremity  about  the  upper  part 
Fm.  58. 


of  the  thigh,  and  carry  the  roller  across  the  pubis 
to  the  crest  of  the  ilium  on  the   opposite  side 


76 


BANDAGES  OF  THE   LOWER   EXTREMITY.    77 

(bandaging  from  left  to  right  for  the  right  thigh, 
and  from  right  to  left  for  the  left).  Thence  around 
the  body,  return  to  the  starting-point  and  encircle 
the  thigh.  As  the  lower  border  of  the  roller  in 
each  turn  determines  the  position  of  the  spica,  it 
should  intersect  directly  in  front  of  the  thigh  and 
the  roller  be  made  to  overlap  two-thirds,  ascend- 

FiG.  59. 


ing  (Fig.  58).  On  crossing  the  pubis  a  second 
time  the  roller  is  made  to  converge  towards  the 
former  turn,  so  that  when  it  reaches  the  crest  of 
the  ilium  it  will  repeat  it.  Proceed  again  to  the 
thigh,  and  so  continue  until  the  bandage  is  ex- 
hausted.    In  securing  the  terminal  end,  thrust 


78 


THE  ROLLER  BANDAGE. 


the  pin  in  a  sufficient  depth  to  include  any 
dressing  whicli  may  have  been  applied,  as  the 
latter  is  very  liable  to  become  displaced  (Fig.  59). 
Uses. — To  retain  dressings  to  the  groin.  To 
keep  hernise  restored;  and  to  complete  the  ap- 
plication of  splints  to  the  thigh. 

DESCENDING  SPICA. 

Fix  the  initial  extremity  at  the  uppermost  por- 
tion of  the  thigh.      Carry  the  roller  across  the 

Fig.  60. 


highest  part  of  the  abdomen  which  it  is  intended 
to  cover,  and  proceed  across  the  back  to  the  groin. 


BANDAGES   OF  THE  LOWER  EXTREMITY.    79 

In  this  bandage  the  upper  border  of  the  roller 
forms  the  spica,  this  turn,  therefore,  must  cross 
the  preceding  one  so  that  their  upper  borders 
coincide  directly  in  front  (Fig.  60).  Encircle  the 
thigh,  overlapping,  descending,  two-thirds.    Pass 

Fig.  61. 


the  roller  across  the  abdomen  and  make  it  con- 
verge towards  the  former  turn,  so  that  when  the 
opposite  side  is  reached  it  will  repeat  it,  when  it 
at  once  begins  to  diverge  towards  the  groin.  So 
continue  until  the  roller  runs  out,  when  the  ter- 
minal end  is  pinned  deeply  over  the  spica  (Fig.  61). 
Uses. — The  same  as  the  preceding  bandage.  It  is 


80  THE   ROLLER   BANDAGE. 

often  not  decided  which  of  these  to  apply  until 
after  the  tirst  turn  is  made,  when  it  may  be  de- 
termined to  extend  the  turns  above  or  below  the 
fixing-point. 


DOUBLE  SPIOA  BATOAaE  OF  THE  GROIN. 

2i  inches  by  10  yards. 

ASCENDING  SPICA. 

Fix  the  initial  extremity  upon  the  upper  por- 

FiG.  62. 


J^ 


tion  of  the  right  thigh,  or  retain  it  with  the 
thumb  of  the  left  hand  until  the  first  turn  is 
made  (the  latter  economizes  the  bandage).    After 


BANDAGES  OF  THE  LOWER  EXTREMITF.    gl 

encircling  the  thigh,  carry  the  roller  across  the 
pubis  to  the  left  iliac  crest  and  straight  across  the 
back  to  the  corresponding  point  on  the  right  side. 
Passing  over  the  pubis  again,  encircle  the  left 
thigh,  and  return  by  the  back  to  the  starting- 
point  in  front  of  the  right  thigh  (Fig.  62).    Three 

Fig.  63. 


spicas  are  begun  in  the  first  series  of  turns,  and 
as  each  intersection  of  the  lower  border  of  the 
roller  determines  the  location  of  these  spicas, 
each  must  be  made  in  its  proper  place  in  the 
median  line  of  the  abdomen  and  directly  in  front 
of  each  thigh.  So  continue  overlapping  two- 
/ 


82 


THE   ROLLER  BANDAGE. 


thirds,  ascending  in  front  and  repeating  behind, 
in  the  order  right  thigli,  body,  left  thigh,  body, 
right  thigh,  etc.,  until  three  or  four  complete 
turns  have  been  made,  when  the  terminal  end 
may  be  pinned  over  a  spica  (Fig.  63). 

Uses. — To   retain   double    hernia.      To    make 
pressure  or  apply  dressings  to  both  groins. 

DESCENDING  SPICA. 

Fix  the  initial  extremity  on  the  uppermost  por- 


FiG.  64. 

\ 


tion  of  the  right  thigh,  or  retain  it  with   the 
thumb  of  the  left  hand   until   the  first  turn   is 


BANDAGES  OF  THE  LOWER  EXTREMITY.     83 

made.  Having  encircled  the  tliigh,  carry  tiie 
roller  across  the  highest  part  of  the  abdomen, 
which  is  to  be  covered,  to  the  opposite  side.  Cross 
the  back  horizontally,  and  descend  over  the  abdo- 
men to  the  left  thio;h  and  encircle  it.  Convev 
the  roller  again  across  the  back,  descending  on 

Fig.  65. 


A 


-) 


the  right  side  to  the  starting-point  over  the  right 
thigh  (Fig.  64).  Here,  as  in  the  preceding  dress- 
ing, there  are  to  be  three  spicas.  The  intersec- 
tion of  the  npper  border  of  the  roller  in  the  me- 
dian line  and  in  front  of  each  thigh  determines 
the  position  of  each  spica.     So  proceed,  overlap- 


84  THE   ROLLER   BANDAGE. 

ping  two-tliirds,  descending  in  the  order  just  de- 
scribed for  the  ascending  spica,  until  three  or 
four  complete  turns  have  been  made,  when  the 
terminal  extremity  may  be  pinned  over  either 
spica  (Fig.  65). 

Uses. — The  same  as  the  preceding  bandage. 
Whether  to  employ  one  or  the  other  is  often  de- 
cided, as  in  the  single  spica,  after  the  first  turn 
is  made. 


FIGUEE-OF-EiaHT  BANDAGE  OP  THE   KNEE. 

2i  inches  by  2  yards. 

Fix  the  initial  extremity  about  two  and  a  half 
inches  below  the  knee,  and  carry  the  roller  diag- 
onally across  the  popliteal  space  to  a  point  on  the 
thigh  the  same  distance  above  the  joint.  Here 
make  a  circular,  and  descend  across  the  popliteal 
space  to  the  leg,  overlapping  the  preceding  turn 
two-thirds,  ascending.  Pass  again  in  a  similar 
manner  across  the  popliteal  space,  and  encircle 
the  thigh,  overlapping  the  previous  turn  two- 
thirds,  descending.  So  continue  to  approximate 
leg  and  thigh  turns  uiitil  the  knee   is   covered, 


BANDAGES  OF  THE  LOWER  EXTREMITY,     go 

except  directly  over  the  patella,  when  a  final  cir- 
cular over  this  point  completes  the  dressing. 
The  terminal  end  may  be  secured  at  any  point 
(Fig.  66). 

Fig.  66. 


Uses. — To  retain  splints  and  dressings  to  the 
knee-joint,  and  as  a  part  of  the  spiral  reversed 
bandage  of  the  lower  extremity. 


SPIOA -BANDAGE  OF  THE  TOOT. 
2^  inches  by  3  yards,  for  the  foot  alone. 

Fix  the  initial  extremity  at  the  ankle,  and  con- 

8 


86  THE  ROLLER   BANDAGE. 

vey  the  roller  abruptly  across  the  dorsum  of  the 
foot  to  the  base  of  the  toes.  Around  the  foot  at 
this  point  make  a  circular  turn,  then  a  spiral,  and 
proceed  to  the  heel.  The  roller  crosses  the  latter 
at  a  point  which  will  bring  its  lower  border  on  a 
line  with  the  sole  of  the  foot.  Thence  return 
across  the  dorsum  and  make  the  first  spica.  The 
lower  border  of  the  roller  being  the  guide  (as 


this  is  an  ascending  spica),  it  must  intersect  that 
of  the  previous  turn  in  the  median  line  and  over- 
lap three-quarters,  ascending.  This  ascending 
overlap  is  continued  for  every  succeeding  turn 
behind  the  heel,  as  well  as  around  the  foot,  during 
the  entire  application.     Another  foot  turn  being 


BANDAGES  OF  THE.  LOWER  EXTREMITY.    87 

completed,  the  roller  is  carried  to  the  heel.  So 
foot  and  heel  turns  alternate  until  the  former  is 
completely  covered,  and  the  latter,  except  its  point 
(Fig.  67).  The  terminal  end  may  he  pinned  at 
any  convenient  point,  or  the  handage  continued 
up  the  leg. 

Uses. — To  retain  dressings  to  any  part  of  the 
foot.  To  make  pressure  or  give  support.  Also 
to  commence  the  spiral  reversed  bandage  of  the 
lower  extremity. 


INCOMPLETE  BANDAGE  O;  THE  FOOT. 
2\  inches  by  2  yards,  for  the  foot  alone. 

Fix  the  initial  extremity,  and  carry  the  roller 
Fig.  68. 


across  the  dorsum  of  the  foot,  as  in  the  preced- 
ing dressing.    Make  one  circular,  one  spiral,  and 


88  THE  ROLLER  BANDAGE. 

one  spiral  reversed  turn  around  the  foot,  overlap- 
ping two-thirds,  ascending  (Fig.  68),  and  proceed 
across  the  instep  to  the  ankle.  Here  make  a  cir- 
cular, and  again  crossing  the  instep,  make  another 
foot  turn.  The  ankle  and  foot  each  receive 
another   turn,    overlapping   the    preceding    one 

Fig.  69. 


two-thirds,  when  the  terminal  end  is  either  pinned 
at  the  ankle  or  the  roller  continued  up  the  leg 
(Fig.  69).     The  heel  is  not  covered. 

Uses. — To  retain  dressings,  and  to  commence 
the  spiral  reversed  bandage  of  the  lower  extrem- 
ity. 


COMPLETE  BANDAGE  OF  THE  FOOT. 

2h  inches  by  3  yards,  for  the  foot  alone. 

Fix  the  initial  extremity,  carry  the  roller  across 
the  foot,  make  a  circular  turn,  a  spiral,  and  a 


BANDAGES  OF  THE  LOWER  EXTREMITY.    §9 

spiral  reversed,  all  as  in  the  dressing  just  de- 
scribed. Starting,  after  tliese  turns  have  been 
made,  at  the  instep,  carry  the  roller  across  the 


Fig.  70. 


point  of  the  heel  back  to  the  instep  (Fig.  70). 
From  here  pass  to  the  sole  of  the  foot,  and  around 
the  side  of  the  heel  under  the  malleolus  (the 


Fig.  71. 


outer,  if  the  right  foot,  the  inner,  if  the  left)  to 

the  tendo   Achillis  (Fig.  71),  and  to  the  instep. 

Again  to  the  sole  of  the  foot,  beneath  the  other 

malleolus  to  the  tendo  Achillis,  and  back  to  the 

8* 


90  THE   ROLLER   BANDAGE. 

instep  (Fig.  72).  -The  terminal  extremity  is  either 
pinned  here,  or  the  roller  carried  up  the  leg. 
The  turns  under  each  malleolus  must  also  be 
pinned.     This  bandage  covers  the  heel. 


Uses. — To  retain  dressings,  and  make  uniform 
pressure  upon  the  ankle-joint.  Also  to  commence 
the  spiral  reversed  bandage  of  the  lower  extrem- 
ity. 


SPIRAL   EEVERSED   BANDAGE   OE   THE   LOWER 
EXTREMITY. 

2\  inches  by  7  yards  to  tlie  knee,  14  yards  to  the  groin. 

Fix  the  initial  extremity,  and  cover  the  foot 
by  either  of  the  three  methods  above  described. 
After  the  foot  has  been  covered,  proceed  with 
spiral  turns,  overlapping  two-thirds  up  the  leg, 


BANDAGES  OF  THE  LOWER  EXTREMITY.    91 

until  its  increasing  diameter  necessitates  reverses. 
After  which  spiral  turns,  or  if  the  calf  be  very 

Fig.  73. 


much  swollen  or  a  bulky  dressing  has  been  ap- 
plied to  it,  descending  spiral  reverses,  continue 
until  the  knee  is  reached.  The  terminal  end  is 
here  pinned.     If  the  roller  is  to  be  carried  up  to 


92  THE  ROLLER  BANDAGE. 

the  groin,  figure-of-eight  turns  will  be  made  to 
cover  the  knee  (see  page  85),  and  spirals  and  spiral 
reverses,  as  indicated  by  the  contour  of  the  limb, 
will  complete  the  dressing  (Fig.  73). 

Uses. — To  retain  dressings,  splints,  extension 
apparatus  to  the  part,  and  to  give  support  for  vari- 
ous conditions. 


Ii:^DEX. 


Anterior  figure-of-eight  bandage  of  the  chest,  68. 

Application  of  the  roller  bandage,  18. 

Ascending  spica  bandage  of  the  groin,  76. 

Ascending  spica  bandage  of  the  shoulder,  55. 

Ascending  spica  bandage  of  the  thumb,  63. 

Barton's  bandage,  27. 

Circular  bandage,  23. 

Complete  bandage  of  the  foot,  88. 

Crossed  bandage  of  the  angle  of  the  jaw,  33. 

Definition,  9. 

Demi-gauntlet  bandage  of  the  hand,  66. 

Desault's  bandage,  42. 

modification  of  third  roller  bandage,  49. 
Descending  spica  bandage  of  the  groin,  78. 
Descending  spica  bandage  of  the  shoulder,  55. 
Descending  spica  bandage  of  the  thumb,  64. 
Double  figure-of-eight  bandage  of  the  eye,  37. 
Double  roller  bandage,  17. 
Double  spica  bandage  of  the  breast,  73. 
Double  spica  bandage  of  the  groin,  80. 
Elbow,  figure-of-eight  bandage  of,  62. 
Figure-of-eight  bandage,  24. 
Figure-of-eight  bandage  of  the  chest,  68. 
Figure-of-eight  bandage  of  the  elbow,  62. 
Figure-of-eight  bandage  of  the  eye,  36. 
Figure-of-eight  bandage  of  the  knee,  84. 
Figure-of-eight  bandage  of  the  neck  and  axilla,  54. 

98 


94  INDEX. 

Fix,  to,  18. 

Foot,  complete  bandage  of,  88. 

incomplete  bandage  of,  87. 

spica  bandage  of,  85. 
Gauntlet  bandage  of  tbe  hand,  65. 
Gibson's  bandage,  30. 
Groin,  double  ascending  spica  bandage  of,  80. 

double  descending  spica  bandage  of,  82. 

single  ascending  spica  bandage  of,  76. 

single  descending  spica  bandage  of,  78.  - 
Hand,  bandages  of,  65. 
Hand,  rolling  bandages  by,  10. 
Head,  bandages  of,  25. 
Hunter's  V  bandage,  38. 
Incomplete  bandage  of  the  foot,  87. 
Jaw,  crossed  bandage  of  the  angle  of,  33. 
Key,  bandage  rolling,  10. 
Knee,  figure-of-eight  bandage  of,  84. 
Knotted  bandage  of  the  head,  40. 
Lower  extremit}',  bandages  of,  76. 
Machine,  bandage,  12. 
Material,  9. 
Oblique  bandage,  23. 
Occipito-facial  bandage,  31. 
Overlap,  to,  19. 
Parts  of  the  roller,  17. 

Posterior  figure-of-eight  bandage  of  the  chest,  70. 
Recur,  to,  19. 
Recurrent  bandage,  24. 
Remove,  to,  23. 
Repeat,  to,  18. 
Reverse,  to,  19. 
Reverse  descending,  to,  21. 
Roller  bandage,  9. 
■Rolling,  10. 
Scalp,  recurrent  bandage  of,  34. 


INDEX  95 

Secure,  to,  22. 

Shoulder,  ascending  spica  bandage  of,  55. 

descending  spica  bandage  of,  58. 
Size  of  bandage,  12. 
Special  bandages,  23. 
Spica  bandage,  24. 
Spica  bandage  of  the  breast,  71. 
Spica  bandage  of  the  foot,  85. 
Spica  bandage  of  the  groin,  76. 
Spica  bandage  of  the  shoulder,  55. 
Spica  bandage  of  the  thumb,  63. 
Spiral  bandage,  23. 
Spiral  bandage  of  the  chest,  67. 
Spiral  reversed  bandage,  24. 

Spiral  reversed  bandage  of  the  lower  extremity,  90. 
Spiral  reversed  bandage  of  the  upper  extremity,  60. 
Tension  of  roller,  13. 

influenced  by  application  of  splints,  14. 

change  in  position  of  the  part,  17. 

character  of  the  dressing  beneath,  15. 
-  circumference  of  the  part  bandaged,  14. 

flexion  and  extension  of  joints,  15. 

habit,  16. 

incomplete  bandaging,  14. 

number  of  turns,  15. 

shrinkage  of  muslin,  16. 

situation,  16. 

texture  and  condition  of  the  tissues,  16. 
Trunk,  bandages  of,  67. 
Upper  extremity,  bandages  of,  42. 
Uses  of  the  roller  bandage,  13. 
Varieties,  17. 
Velpeau's  bandage,  51. 
White's  head  and  neck  bandage,  39. 


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